首页|生酮饮食疗法对孤独症患儿症状及ATEC和CARS评分的改善效果

生酮饮食疗法对孤独症患儿症状及ATEC和CARS评分的改善效果

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目的 探讨生酮饮食疗法对孤独症患儿症状及孤独症治疗评估量表(ATEC)和及儿童孤独症评定量表(CARS)评分的改善效果.方法 回顾性选取2021年7月至2022年7月收治的78例ASD患儿为研究对象,根据不同治疗方案将其分为对照组和治疗组,每组39例,对照组接受ASD特殊教育及日常训练+普通饮食,治疗组接受ASD特殊教育及日常训练+生酮饮食,均连续治疗6个月,比较2组《自闭症儿童心理教育评核(第三版)》(C-PEP-3)评分、孤独症治疗评估量表(ATEC)评分、儿童孤独症评定量表(CARS)评分及孤独症行为量表(ABC)评分.结果 治疗后,2组C-PEP-3各维度评分及总分均显著上升,且治疗组高于对照组(P<0.05);治疗后,2组ATEC各维度(表达/语言沟通、社交能力、感知/认知能力及健康/生理/行为)评分均显著下降,且治疗组低于对照组(P<0.05);治疗后,2组CARS和ABC评分均显著下降,且治疗组低于对照组(P<0.05);治疗后,研究组就寝习惯不良、睡眠焦虑、睡眠持续时间不规律、白天嗜睡、夜醒、入睡潜伏期延长及CSHQ总分均显著低于对照组(P<0.05).结论 生酮饮食疗法可有效控制孤独症患儿临床症状,改善其认知及异常行为,降低其疾病程度,提高其睡眠质量,值得临床推广.
Effects of ketogenic diet therapy on symptoms of children with autism spectrum disorder and the ATEC and CARS scores
Objective To investigate the effects of ketogenic diet therapy on the symptoms of children with autism spectrum disorder(ASD)and the score of the Autism Treatment Evaluation Checklist(ATEC)and Childhood Autism Rating Scale(CARS).Methods A total of 78 children with ASD from July 2021 to July 2022 were retrospectively enrolled.According to different treatment plans,they were assigned into the control group and treatment group,with 39 cases in each group.Patients in the control group received ASD special education and daily training+ordinary diet,and those in the treatment group received ASD special education and daily training+ketogenic diet for 6 months.The scores of the Chinese version of Psycho-Educational Profile-3rd edition(C-PEP-3),ATEC,CARS and the Autism Behavior Scale(ABC)were compared between the two groups.Results After treatment,scores of each dimension and the total scores of C-PEP-3 in both groups significantly increased,which were significantly higher in the treatment group than those of the control group(P<0.05).After treatment,the ATEC scores in all dimensions(speech/language and communication,sociability,sensory and cognitive awareness,physical/health behavior)significantly decreased in both groups,which were significantly lower in the treatment group than those of the control group(P<0.05).After treatment,the CARS and ABC scores in both groups significantly decreased,which were significantly lower in the treatment group than those of the control group(P<0.05).After treatment,poor sleeping habits,sleep anxiety,irregular sleep duration,daytime sleepiness,night waking,prolonged sleep latency and total CSHQ score of the study group were significantly lower than those of the control group(P<0.05).Conclusion Ketogenic diet therapy can effectively control the clinical symptoms of ASD in children,improve their cognition,alleviate abnormal behaviors and disease severity,improve their sleep quality,which is worthy of clinical promotion.

ketogenic dietautismAutism Treatment Evaluation Checklist(ATEC)Childhood Autism Rating Scale(CARS)Chinese version of Psycho-Educational Profile-3rd edition(C-PEP-3)cognitive ability

张欠、李晨旭、马守君、刘文博、于若琳、朱长森、王晓东

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055250 河北省邢台市巨鹿县医院

暨南大学附属第一医院

生酮饮食 孤独症 ATEC CARS C-PEP-3 认知能力

河北省卫生健康委员会医学科学研究课题

20211368

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(12)